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ALEXANDER PROVOST, D.C.
D.C.
Chiropractor
NPI: 1306434337IndividualAccepts Medicare
Specialties, Licenses & Credentials
ChiropractorPrimary
Chiropractor
Code: 111N00000X
6646(MN)5599-12(WI)
CMS Specialties
PrimaryCHIROPRACTIC
Education
OTHER
Class of 2019
Contact & Hours
- Address
- W5675 COUNTY ROAD B
SHAWANO, WI 54166 - Phone
- (715) 526-6158
Quick Facts
- NPI
- 1306434337
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 7
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